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中西医结合防治术后胃肠功能紊乱临床实践指南(2023版) 被引量:3

Clinical practice guideline for prevention and treatment of postoperative gastrointestinal disorder with integrated traditional Chinese and Western medicine(2023 edition)
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摘要 术后胃肠功能紊乱是麻醉手术后的常见并发症。中西医结合技术在防治此类疾病上疗效确切,但目前缺少标准化和规范化的相关临床实践指南。为此,中国中西医结合学会围手术期专业委员会和中国中西结合学会麻醉专业委员会,联合甘肃省中西医结合麻醉临床医学研究中心/甘肃省中医院麻醉疼痛医学中心及WHO指南实施与知识转化合作中心/GRADE中国中心/甘肃省医学指南行业技术中心/兰州大学循证医学中心,遵循循证指南制订的原则、方法和步骤,组建多学科专家团队,通过文献调研和专家共识确定临床问题(7个背景问题和12个临床问题)。基于系统评价/Meta分析结果,综合证据质量,权衡干预措施的利弊,考虑患者偏好和价值观,通过德尔菲法专家共识会议形成20条推荐意见。涉及对疾病的定义、病因病机、辨证分型和诊断,以及围手术期防治措施。 Postoperative gastrointestinal disorder(POGD)is a common complication after surgery under anesthesia.Strategies in combination with traditional Chinese medicine and Western medicine have shown some distinct effects but standardized clinical practice guidelines are not available.Thus,a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine(CAIM),jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations,Assessment,Development,and Evaluation(GRADE)Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University was established to develop evidence-based guidelines.Clinical questions(7 background and 12 clinical questions)were identified through literature reviews and expert consensus meetings.Based on systematic reviews/meta-analyses,evidence quality was analyzed and the advantages and disadvantages of interventional measures were weighed with input from patients’preferences.Finally,20 recommendations were developed through the Delphi-based consensus meetings.These recommendations include disease definitions,etiologies,pathogenesis,syndrome differentiation,diagnosis,and perioperative prevention and treatment.
作者 薛建军 徐紫清 侯怀晶 王强 魏莉莉 张杰 赵晓红 陈丽萍 丁凡帆 马丽 赵永强 王迎斌 马大青 王天俊 刘仁玉 Tong J Gan Nicky Robinson Yurasek Frank 苏帆 迟永良 杨佃会 刘淑娟 崔苏扬 魏友松 陈志强 秦有 曹立幸 陈贵平 舒宽勇 肖仲清 张晖 余剑波 胡志前 程化坤 马武华 刘国凯 王秀丽 曹兴华 高巨 孔高茵 陶清 王保华 王均炉 李洪 吕翠霞 张志明 李天佐 杨克虎 XUE Jianjun;XU Ziqing;HOU Huaijing;WANG Qiang;WEI Lili;ZHANG Jie;ZHAO Xiaohong;CHEN Liping;DING Fanfan;MA Li;ZHAO Yongqiang;WANG Yingbin;MA Daqing;WANG Tianjun;LIU Renyu;Tong J Gan;Nicky Robinson;Yurasek Frank;SU Fan;CHI Yongliang;YANG Dianhui;LIU Shujuan;CUI Suyang;WEI Yousong;CHEN Zhiqiang;QIN You;CAO Lixing;CHEN Guiping;SHU Kuanyong;XIAO Zhongqing;ZHANG Hui;YU Jianbo;HU Zhiqian;CHENG Huakun;MA Wuhua;LIU Guokai;WANG Xiuli;CAO Xinghua;GAO Ju;KONG Gaoyin;TAO Qing;WANG Baohua;WANG Junlu;LI Hong;LYU Cuixia;ZHANG Zhiming;LI Tianzuo;YANG Kehu(Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou 730000,P.R.China;Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,P.R.China;Gansu Province Clinical Research Center of Integrative Anaesthesiology,Lanzhou 730050,P.R.China;The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,P.R.China;School of Economics and Management,Gansu University of Chinese Medicine,Lanzhou 730000,P.R.China;Lanzhou University Second Hospital,Lanzhou 730030,P.R.China;Division of Anaesthetics,Pain Medicine and Intensive Care,Department of Surgery and Cancer,Faculty of Medicine,Imperial College London,Chelsea and Westminster Hospital,London SW72AZ,UK;The Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310005,P.R.China;London Academy of Chinese Acupuncture,London IG26QS,UK;University of Pennsylvania,Commonwealth of Pennsylvania 19104,USA;Department of Anesthesiology,Stony Brook University,Stony Brook,New York NY11794,USA;London South Bank University,London SE13NQ,UK;Acupuncture Services Cook County Health,Stroger Hospital,Chicago 60675,USA;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,P.R.China;Jiangsu Provincial Hospital of Chinese Medicine,Nanjing 210029,P.R.China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510030,P.R.China;Zhejiang Provincial Hospital of Chinese Medicine,Hangzhou 310006,P.R.China;Jiangxi Maternal and Child Health Hospital,Nanchang 330006,P.R.China;Tianjin Hospital of ITCWM Nankai Hospital,Tianjin 300100,P.R.China;Changzheng Hospital Affiliated to Second Military Medical University,Shanghai 200003,P.R.China;Heilongjiang Provincial Hospital,Harbin 150036,P.R.China;The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,P.R.China;Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,P.R.China;The Third Hospital of Hebei Medical University,Shijiazhuang 050051,P.R.China;Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University,Urumqi 830000,P.R.China;Northern Jiangsu People’s Hospital,Yangzhou 225001,P.R.China;Hunan Provincial People’s Hospital,Changsha 410005,P.R.China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,P.R.China;Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Changchun 130021,P.R.China;The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,P.R.China;The Second Affiliated Hospital of Army Medical University,Chongqing 400037,P.R.China;School of Basic Medical Sciences of Shandong University of Traditional Chinese Medicine,Jinan 250013,P.R.China;Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing 100038,P.R.China;WHO Collaborating Center for Guideline Implementation and Knowledge Translation,Lanzhou 730000,P.R.China;Gansu Provincial Center for Medical Guideline Industry Technology,Lanzhou 730000,P.R.China;Chinese GRADE Centre,Lanzhou University,Lanzhou 730000,P.R.China)
出处 《中国循证医学杂志》 CSCD 北大核心 2024年第6期637-651,共15页 Chinese Journal of Evidence-based Medicine
基金 兰州市科技计划项目(编号:2023-2-53) 甘肃省科技基金项目(编号:20JR10RA435) 甘肃省科技计划项目(编号:22YF7FA101)。
关键词 中西医结合 术后胃肠功能紊乱 指南 Integrated traditional Chinese and Western medicine Postoperative gastrointestinal disorder Guideline
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